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Klein F, Schleithoff J, Schulz M, Webel K, Foullois H, Loehr M, Kronmueller KT. Development and validation of the German translation of the views on inpatient care (VOICE-DE) outcome measure to assess service users’ perceptions of inpatient psychiatric care. J Ment Health 2022; 32:560-566. [DOI: 10.1080/09638237.2022.2118691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
- F. Klein
- Department of Psychiatry and Psychotherapy, LWL-Klinikum Gütersloh, Gütersloh, Germany
| | - J. Schleithoff
- Department of Psychiatry and Psychotherapy, LWL-Klinikum Gütersloh, Gütersloh, Germany
| | - M. Schulz
- Department of Psychiatry and Psychotherapy, LWL-Klinikum Gütersloh, Gütersloh, Germany
- Diaconic University of Applied Sciences, Bielefeld, Germany
- Institute of Health and Nursing sciences, Martin-Luther-University Halle Wittenberg, Halle, Germany
| | - K. Webel
- Department of Psychiatry and Psychotherapy, LWL-Klinikum Gütersloh, Gütersloh, Germany
| | - H. Foullois
- Department of Hospitals and Healthcare, Landschaftsverband Westfalen-Lippe, Münster, Germany
| | - M. Loehr
- Department of Psychiatry and Psychotherapy, LWL-Klinikum Gütersloh, Gütersloh, Germany
- Diaconic University of Applied Sciences, Bielefeld, Germany
| | - K.-T. Kronmueller
- Department of Psychiatry and Psychotherapy, LWL-Klinikum Gütersloh, Gütersloh, Germany
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Hoffmeister A, Mayerle J, Beglinger C, Büchler MW, Bufler P, Dathe K, Fölsch UR, Friess H, Izbicki J, Kahl S, Klar E, Keller J, Knoefel WT, Layer P, Loehr M, Meier R, Riemann JF, Rünzi M, Schmid RM, Schreyer A, Tribl B, Werner J, Witt H, Mössner J, Lerch MM. English language version of the S3-consensus guidelines on chronic pancreatitis: Definition, aetiology, diagnostic examinations, medical, endoscopic and surgical management of chronic pancreatitis. Z Gastroenterol 2015; 53:1447-95. [PMID: 26666283 DOI: 10.1055/s-0041-107379] [Citation(s) in RCA: 80] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Chronic pancreatitis is a disease of the pancreas in which recurrent inflammatory episodes result in replacement of pancreatic parenchyma by fibrous connective tissue. This fibrotic reorganization of the pancreas leads to a progressive exocrine and endocrine pancreatic insufficiency. In addition, characteristic complications arise, such as pseudocysts, pancreatic duct obstructions, duodenal obstruction, vascular complications, obstruction of the bile ducts, malnutrition and pain syndrome. Pain presents as the main symptom of patients with chronic pancreatitis. Chronic pancreatitis is a risk factor for pancreatic carcinoma. Chronic pancreatitis significantly reduces the quality of life and the life expectancy of affected patients. These guidelines were researched and compiled by 74 representatives from 11 learned societies and their intention is to serve evidence-based professional training as well as continuing education. On this basis they shall improve the medical care of affected patients in both the inpatient and outpatient sector. Chronic pancreatitis requires an adequate diagnostic workup and systematic management, given its severity, frequency, chronicity, and negative impact on the quality of life and life expectancy.
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Affiliation(s)
| | | | - C Beglinger
- Department of Gastroenterology and Hepatology, University Hospital Basel, Switzerland
| | - M W Büchler
- Department of General, Visceral and Transplantation Surgery, University Hospital, Heidelberg, Ruprecht Karls University, Heidelberg
| | - P Bufler
- Dr. von Haunersches Children's Hospital, Ludwig Maximilian University, Munich
| | - K Dathe
- German Society of Digestive and Metabolic Diseases (DGVS), Berlin
| | - U R Fölsch
- Department of General Internal Medicine, Christian Albrechts University, Kiel
| | - H Friess
- Surgical Clinic and Polyclinic at the Rechts der Isar Hospital, Technical University, Munich
| | - J Izbicki
- Department of General, Visceral and Thoracic Surgery at the University Medical Centre Hamburg-Eppendorf
| | - S Kahl
- Department of Internal Medicine, Specialisation Gastroenterology, Haematology and Oncology, Nephrology German Red Cross (DRK) Hospital Berlin-Köpenick
| | - E Klar
- General Surgery, Thoracic, Vascular and Transplantation Surgery, University of Rostock
| | - J Keller
- Department of Medicine, Israelitic Hospital Hamburg
| | - W T Knoefel
- Department of General, Visceral and Paediatric Surgery, University Hospital Dusseldorf of the Heinrich Heine University
| | - P Layer
- Department of Medicine, Israelitic Hospital Hamburg
| | - M Loehr
- Surgical Gastroenterology, Gastrocentrum, Karolinska University Hospital Huddinge
| | - R Meier
- Department for Gastroenterology, Kanton Hospital Liestal, Medical University Clinic
| | - J F Riemann
- Department of Medicine C at the Hospital of the City Ludwigshafen/Rhine gGmbH
| | - M Rünzi
- Division of Gastroenterology and Metabolic Disease, Clinics of South Essen
| | - R M Schmid
- Department of Medicine 2 at the Rechts der Isar Hospital, Technical University Munich
| | - A Schreyer
- Institute for Radiodiagnostics at the University Hospital of Regensburg
| | - B Tribl
- Internal Medicine IV, Dept. for Gastroenterology and Hepatology, University Hospital Vienna
| | - J Werner
- Department of General, Visceral and Transplantation Surgery, University Hospital, Heidelberg, Ruprecht Karls University, Heidelberg
| | - H Witt
- Department of Paediatric Medicine, Children's Hospital Munich Schwabing, Technical University of Munich
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Hoffmeister A, Mayerle J, Beglinger C, Büchler M, Bufler P, Dathe K, Fölsch U, Friess H, Izbicki J, Kahl S, Klar E, Keller J, Knoefel W, Layer P, Loehr M, Meier R, Riemann J, Rünzi M, Schmid R, Schreyer A, Tribl B, Werner J, Witt H, Mössner J, Lerch M, Lerch MM. S3-Leitlinie Chronische Pankreatitis: Definition, Ätiologie, Diagnostik, konservative, interventionell endoskopische und operative Therapie der chronischen Pankreatitis. Leitlinie der Deutschen Gesellschaft für Verdauungs- und Stoffwechselkrankheiten (DGVS). Z Gastroenterol 2012; 50:1176-224. [PMID: 23150111 DOI: 10.1055/s-0032-1325479] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Affiliation(s)
- A. Hoffmeister
- Klinik und Poliklinik für Gastroenterologie und Rheumatologie, Universitätsklinikum Leipzig
| | - J. Mayerle
- Klinik für Innere Medizin A, Universitätsmedizin der Ernst-Moritz-Arndt Universität, Greifswald
| | - C. Beglinger
- Klinik für Gastroenterologie und Hepatologie Universitätsspital Basel, Schweiz
| | - M. Büchler
- Klinik für Allgemeine, Viszerale und Transplantationschirurgie, Universitätsklinikum Heidelberg, Ruprecht-Karls-Universität, Heidelberg
| | - P. Bufler
- Dr. von Haunersches Kinderspital, Ludwig Maximilian Universität München
| | - K. Dathe
- Deutsche Gesellschaft für Verdauungs- und Stoffwechselerkrankungen (DGVS), Berlin
| | - U. Fölsch
- Klinik für Allgemeine Innere Medizin, Christian-Albrechts-Universität zu Kiel
| | - H. Friess
- Chirurgische Klinik und Poliklinik am Klinikum Rechts der Isar, Technische Universität München
| | - J. Izbicki
- Klinik und Poliklinik für Allgemein-, Visceral- und Thoraxchirurgie am Universitätsklinikum Hamburg-Eppendorf
| | - S. Kahl
- Klinik für Innere Medizin Schwerpunkt Gastroenterologie, Hämatologie und Onkologie, Nephrologie DRK Kliniken Berlin-Köpenick
| | - E. Klar
- Allgemeine Chirurgie, Thorax-, Gefäß- und Transplantationschirurgie, Universität Rostock
| | - J. Keller
- Medizinische Klinik, Israelitisches Krankenhaus Hamburg
| | - W. Knoefel
- Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Universitätsklinikum Düsseldorf der Heinrich-Heine-Universität
| | - P. Layer
- Medizinische Klinik, Israelitisches Krankenhaus Hamburg
| | - M. Loehr
- Surgical Gastroenterology, Gastrocentrum, Karolinska University Hospital Huddinge
| | - R. Meier
- Abteilung für Gastroenterologie, Kantonsspital Liestal, Medizinische Universitätsklinik
| | - J. Riemann
- Medizinische Klinik C am Klinikum der Stadt Ludwigshafen/Rhein gGmbH
| | - M. Rünzi
- Klinik für Gastroenterologie u. Stoffwechselerkrankungen, Kliniken Essen Süd
| | - R. Schmid
- Medizinische Klinik 2 am Klinikum Rechts der Isar, Technische Universität München
| | - A. Schreyer
- Institut für Röntgendiagnostik am Universitätsklinikum Regensburg
| | - B. Tribl
- Innere Medizin IV, Abt. f. Gastroenterologie und Hepatologie, Universitätsklinik Wien
| | - J. Werner
- Klinik für Allgemeine, Viszerale und Transplantationschirurgie, Universitätsklinikum Heidelberg, Ruprecht-Karls-Universität, Heidelberg
| | - H. Witt
- Klinik und Poliklinik für Kinder- und Jugendmedizin, Kinderklinik München Schwabing, Technische Universität München
| | - J. Mössner
- Klinik und Poliklinik für Gastroenterologie und Rheumatologie, Universitätsklinikum Leipzig
| | - M. Lerch
- Klinik für Innere Medizin A, Universitätsmedizin der Ernst-Moritz-Arndt Universität, Greifswald
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Spuentrup E, Jacobs JE, Kleimann JF, Wiethoff AJ, Poggenborg J, Brinker G, Loehr M, Möller-Hartmann W, Botnar RM, Ernestus RI, Lackner KJ. High spatial resolution and high contrast visualization of brain arteries and veins: impact of blood pool contrast agent and water-selective excitation imaging at 3T. ROFO-FORTSCHR RONTG 2010; 182:1097-104. [PMID: 20803412 DOI: 10.1055/s-0029-1245648] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
PURPOSE To investigate a blood pool contrast agent and water-selective excitation imaging at 3 T for high spatial and high contrast imaging of brain vessels including the veins. METHODS AND RESULTS 48 clinical patients (47 ± 18 years old) were included. Based on clinical findings, twenty-four patients received a single dose of standard extracellular Gadoterate-meglumine (Dotarem®) and 24 received the blood pool contrast agent Gadofosveset (Vasovist®). After finishing routine MR protocols, all patients were investigated with two high spatial resolution (0.15 mm (3) voxel size) gradient echo sequences in random order in the equilibrium phase (steady-state) as approved by the review board: A standard RF-spoiled gradient-echo sequence (HR-SS, TR/TE 5.1/2.3 msec, FA 30°) and a fat-suppressed gradient-echo sequence with water-selective excitation (HR-FS, 1331 binominal-pulse, TR/TE 8.8/3.8 msec, FA 30°). The images were subjectively assessed (image quality with vessel contrast, artifacts, depiction of lesions) by two investigators and contrast-to-noise ratios (CNR) were compared using the Student's t-test. The image quality and CNR in the HR-FS were significantly superior compared to the HR-SS for both contrast agents (p < 0.05). The CNR was also improved when using the blood pool agent but only to a minor extent while the subjective image quality was similar for both contrast agents. CONCLUSION The utilized sequence with water-selective excitation improved image quality and CNR properties in high spatial resolution imaging of brain arteries and veins. The used blood pool contrast agent improved the CNR only to a minor extent over the extracellular contrast agent.
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Loehr M, Bodoky G, Fölsch U, Märten A, Karrasch M, Lilla C, Meyer I, Osinsky D, Szanto J, Lutz M. Cationic liposomal paclitaxel in combination with gemcitabine in patients with advanced pancreatic cancer: A phase II trial. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.4526] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
4526 Background: EndoTAG-1 is a novel cationic liposomal formulation of paclitaxel being developed for the treatment of solid malignancies. It acts by targeting activated negatively charged endothelial cells of tumor blood vessels. We present safety and efficacy data of a randomized, controlled phase II trial in pancreatic cancer (PC). Methods: 200 patients with advanced PC were randomized to 1st line treatment with weekly gemcitabine (GEM: 1000 mg/m2) and twice weekly infusions of EndoTAG-1 (E) at 3 different dose levels (Elow: 11 mg/m2, Emed: 22 mg/m2, Ehigh: 44 mg/m2) or GEM monotherapy. Patients were treated for 7 weeks and followed up for overall survival (OS) for at least 1 year. After finishing study treatment, any anti-tumor therapy was allowed. A subgroup of patients had the option to receive repeated cycles of combination therapy in case of at least stable disease according to RECIST until disease progression. Results: Median OS was substantially higher in the GEM+Emed and GEM+ Ehigh groups than the GEM monotherapy group. Adjusted hazard ratios for OS were 0.72 (95% CI 0.46–1.13) and 0.67 (0.43–1.07). In patients receiving >1 treatment cycle, median OS was 11.5 months (GEM+Ehigh); in the GEM+Emed group 75% of patients were alive at 1 year. Treatment with EndoTAG-1 and gemcitabine was generally well tolerated. A trend for increasing adverse event frequency with EndoTAG-1 dose was observed for infusion-related reactions associated with chills and pyrexia, and thrombocytopenia. The overall frequency of serious adverse events in the GEM+E groups was low, the most frequent SAE being pyrexia in 4 (8%) patients in the GEM+Ehigh group. There was no indication for significant organ toxicity associated with EndoTAG-1, even in patients receiving multiple treatment cycles. Conclusions: This phase II trial indicates a considerable survival benefit for patients with advanced PC receiving EndoTAG-1 in combination with gemcitabine and a favourable safety profile warranting further development of EndoTAG-1 in this indication. [Table: see text]
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Affiliation(s)
- M. Loehr
- Karolinska Institute, Stockholm, Sweden; Szent Laszlo Hospital, Budapest, Hungary; University Hospital Schleswig-Holstein, Kiel, Germany; University Hospital Heidelberg, Heidelberg, Germany; MediGene AG, Martinsried, Germany; Institute of Oncology AMS of Ukraine, Kiev, Ukraine; Medical University of Debrecen, Debrecen, Hungary; Caritasklinik St. Theresa, Saarbrücken, Germany
| | - G. Bodoky
- Karolinska Institute, Stockholm, Sweden; Szent Laszlo Hospital, Budapest, Hungary; University Hospital Schleswig-Holstein, Kiel, Germany; University Hospital Heidelberg, Heidelberg, Germany; MediGene AG, Martinsried, Germany; Institute of Oncology AMS of Ukraine, Kiev, Ukraine; Medical University of Debrecen, Debrecen, Hungary; Caritasklinik St. Theresa, Saarbrücken, Germany
| | - U. Fölsch
- Karolinska Institute, Stockholm, Sweden; Szent Laszlo Hospital, Budapest, Hungary; University Hospital Schleswig-Holstein, Kiel, Germany; University Hospital Heidelberg, Heidelberg, Germany; MediGene AG, Martinsried, Germany; Institute of Oncology AMS of Ukraine, Kiev, Ukraine; Medical University of Debrecen, Debrecen, Hungary; Caritasklinik St. Theresa, Saarbrücken, Germany
| | - A. Märten
- Karolinska Institute, Stockholm, Sweden; Szent Laszlo Hospital, Budapest, Hungary; University Hospital Schleswig-Holstein, Kiel, Germany; University Hospital Heidelberg, Heidelberg, Germany; MediGene AG, Martinsried, Germany; Institute of Oncology AMS of Ukraine, Kiev, Ukraine; Medical University of Debrecen, Debrecen, Hungary; Caritasklinik St. Theresa, Saarbrücken, Germany
| | - M. Karrasch
- Karolinska Institute, Stockholm, Sweden; Szent Laszlo Hospital, Budapest, Hungary; University Hospital Schleswig-Holstein, Kiel, Germany; University Hospital Heidelberg, Heidelberg, Germany; MediGene AG, Martinsried, Germany; Institute of Oncology AMS of Ukraine, Kiev, Ukraine; Medical University of Debrecen, Debrecen, Hungary; Caritasklinik St. Theresa, Saarbrücken, Germany
| | - C. Lilla
- Karolinska Institute, Stockholm, Sweden; Szent Laszlo Hospital, Budapest, Hungary; University Hospital Schleswig-Holstein, Kiel, Germany; University Hospital Heidelberg, Heidelberg, Germany; MediGene AG, Martinsried, Germany; Institute of Oncology AMS of Ukraine, Kiev, Ukraine; Medical University of Debrecen, Debrecen, Hungary; Caritasklinik St. Theresa, Saarbrücken, Germany
| | - I. Meyer
- Karolinska Institute, Stockholm, Sweden; Szent Laszlo Hospital, Budapest, Hungary; University Hospital Schleswig-Holstein, Kiel, Germany; University Hospital Heidelberg, Heidelberg, Germany; MediGene AG, Martinsried, Germany; Institute of Oncology AMS of Ukraine, Kiev, Ukraine; Medical University of Debrecen, Debrecen, Hungary; Caritasklinik St. Theresa, Saarbrücken, Germany
| | - D. Osinsky
- Karolinska Institute, Stockholm, Sweden; Szent Laszlo Hospital, Budapest, Hungary; University Hospital Schleswig-Holstein, Kiel, Germany; University Hospital Heidelberg, Heidelberg, Germany; MediGene AG, Martinsried, Germany; Institute of Oncology AMS of Ukraine, Kiev, Ukraine; Medical University of Debrecen, Debrecen, Hungary; Caritasklinik St. Theresa, Saarbrücken, Germany
| | - J. Szanto
- Karolinska Institute, Stockholm, Sweden; Szent Laszlo Hospital, Budapest, Hungary; University Hospital Schleswig-Holstein, Kiel, Germany; University Hospital Heidelberg, Heidelberg, Germany; MediGene AG, Martinsried, Germany; Institute of Oncology AMS of Ukraine, Kiev, Ukraine; Medical University of Debrecen, Debrecen, Hungary; Caritasklinik St. Theresa, Saarbrücken, Germany
| | - M. Lutz
- Karolinska Institute, Stockholm, Sweden; Szent Laszlo Hospital, Budapest, Hungary; University Hospital Schleswig-Holstein, Kiel, Germany; University Hospital Heidelberg, Heidelberg, Germany; MediGene AG, Martinsried, Germany; Institute of Oncology AMS of Ukraine, Kiev, Ukraine; Medical University of Debrecen, Debrecen, Hungary; Caritasklinik St. Theresa, Saarbrücken, Germany
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